Humana Selected by Oklahoma Health Care Authority to Serve Medicaid Beneficiaries
30 January 2021 - 8:05AM
Business Wire
Statewide contract will enable children, adults
and families to realize their best health
Leading health and well-being company Humana Inc. (NYSE: HUM)
has been selected by the Oklahoma Health Care Authority (OHCA) to
deliver health care coverage to Medicaid beneficiaries across the
state, starting later this year. Humana’s Medicaid division, Humana
Healthy Horizons, will administer the coverage in Oklahoma.
Through SoonerSelect, the Oklahoma Medicaid managed care program
– focused on Temporary Assistance for Needy Families, the
Children’s Health Insurance Program, and Medicaid Expansion
populations – Humana will serve children and adults across the
state with the goal of improving their health and well-being.
“Humana is honored to have been chosen to serve Oklahomans
covered under the state’s new Medicaid managed care program,” said
Humana Medicaid President John Barger. “We look forward to
partnering with the state to bring forward an individualized
approach to care that considers the physical and mental well-being
of beneficiaries, as well as the critical social determinants that
impact the population. We’re proud to have served Oklahoma
communities for more than three decades, and we share with the
Oklahoma Health Care Authority a deep commitment to delivering
quality health care services to Oklahomans who need it most.”
Humana is one of four plan administrators selected as part of a
statewide Medicaid managed care procurement issued last year. The
state contract will take effect later this year, with the option of
renewal terms thereafter.
“Humana looks forward to partnering with the state and
addressing the comprehensive whole person health needs of
Oklahomans,” said Joseph Fairbanks, CEO of Humana Healthy Horizons
in Oklahoma. “We have a longtime commitment to enhancing health;
through our collaboration with the state, we look forward to
supporting Oklahomans as they face the personal and public health
challenges ahead.”
Humana currently serves a total of more than 270,000 Oklahomans,
across multiple business lines. The company provides coordinated
medical, wellness and pharmacy benefits coverage to its Medicare
Advantage and Prescription Drug Plan members in Oklahoma. Humana
also administers health care coverage for members of the military,
military retirees and their dependents through the federal TRICARE
program. Humana’s participation in Oklahoma’s new Medicaid program
will allow the company to bring its services to more Oklahomans
across the state.
In addition, Humana is proud to be a community partner in
Oklahoma and we’re addressing urgent and long-term community needs.
During 2020, Humana invested nearly $1 million in relief to six
local organizations that face an unprecedented demand from
Oklahomans in need of critical services.
About Humana Healthy Horizons
In 2020, Humana launched its new Medicaid brand, Humana
Healthy Horizons™. With this new brand, we are committed to
continue demonstrating our strong ability to manage complex
populations and create solutions that lead to a better quality of
life for our members. Nationally, we serve Medicaid enrollees
through Medicaid Managed Care (MMC), Managed Long Term Services and
Supports (MLTSS) programs, Centers for Medicare and Medicaid
Services (CMS) Financial Alignment Initiative Dual Demonstrations,
MA, D‐SNPs, and PDPs.
Humana has served Medicaid populations continuously for more
than two decades and currently manages Medicaid benefits for nearly
800,000 members nationally. We have developed expertise providing
care management, care planning, and specialized clinical management
for the complex needs of Temporary Assistance for Needy Families
(TANF); Children’s Health Insurance Program (CHIP); Medicaid
Expansion; aged, blind, or disabled (ABD); and dual eligible
populations within a social supports‐based framework. Through these
years of experience, we have also developed significant expertise
in integrating physical health, behavioral health, pharmacy, and
social services and supports for a whole-person centered approach
to improve the health and well‐being of our members and the
communities we serve.
Humana Healthy Horizons is a Medicaid Product of Humana Health
Plan, Inc.
About Humana
Humana Inc. (NYSE: HUM) is committed to helping our millions of
medical and specialty members achieve their best health. Our
successful history in care delivery and health plan administration
is helping us create a new kind of integrated care with the power
to improve health and well-being and lower costs. Our efforts are
leading to a better quality of life for people with Medicare,
families, individuals, military service personnel, and communities
at large.
To accomplish that, we support physicians and other health care
professionals as they work to deliver the right care in the right
place for their patients, our members. Our range of clinical
capabilities, resources and tools – such as in-home care,
behavioral health, pharmacy services, data analytics and wellness
solutions – combine to produce a simplified experience that makes
health care easier to navigate and more effective.
More information regarding Humana is available to investors via
the Investor Relations page of the company’s web site at
www.humana.com, including copies of:
- Annual reports to stockholders
- Securities and Exchange Commission filings
- Most recent investor conference presentations
- Quarterly earnings news releases and conference calls
- Calendar of events
- Corporate Governance information
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version on businesswire.com: https://www.businesswire.com/news/home/20210129005593/en/
Jim Turner Humana Corporate Communications jturner2@humana.com
502.608.2897
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